A nurse is educating a group of patients with OCD about their condition. Which information should the nurse include in the education session?
"OCD is caused solely by genetic factors.”
"Exposure therapy is not effective for treating OCD.”
"SSRIs are commonly used medications for OCD.”
"CBT is not recommended for treating OCD.”
The Correct Answer is C
Choice A rationale:
While genetic factors can contribute to the development of OCD, stating that it is solely caused by genetic factors oversimplifies the etiology. OCD is a complex disorder with multiple factors, including genetic, neurobiological, cognitive, and environmental influences.
Choice B rationale:
This statement is incorrect. Exposure therapy is a highly effective treatment for OCD. It involves controlled and systematic exposure to feared stimuli, which helps individuals reduce their anxiety responses over time.
Choice C rationale:
This choice is correct because selective serotonin reuptake inhibitors (SSRIs) are indeed commonly used as a first-line pharmacological treatment for OCD. These medications help regulate serotonin levels in the brain, which can reduce the frequency and intensity of obsessions and compulsions.
Choice D rationale:
Cognitive-behavioral therapy (CBT) is actually recommended as one of the most effective treatments for OCD. CBT, including exposure and response prevention, helps individuals learn to manage their symptoms by changing maladaptive thought patterns and behaviors associated with OCD. Therefore, stating that CBT is not recommended is inaccurate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The limbic circuit consisting of the hippocampus, amygdala, and hypothalamus is not the main brain circuit involved in obsessive-compulsive disorders (OCDs) The limbic circuit is more closely associated with emotions and memory, rather than the cognitive processes that drive OCD symptoms.
Choice B rationale:
The central executive circuit comprising the prefrontal cortex and temporal lobes is responsible for higher-level cognitive functions like decision-making and working memory. However, this circuit is not primarily implicated in the pathophysiology of OCD.
Choice C rationale:
The correct choice. The cortico-striato-thalamo-cortical (CSTC) circuit plays a central role in the development of OCD. This circuit involves several key components: Orbitofrontal cortex: Responsible for assessing potential risks and rewards, and for decision-making. Anterior cingulate cortex: Involved in error detection, emotional processing, and regulating cognitive flexibility. Striatum: Responsible for habit formation and reward-based learning. Thalamus: Acts as a relay station for information between various brain regions. This circuit's malfunction can lead to repetitive behaviors and intrusive thoughts characteristic of OCD.
Choice D rationale:
The ventral tegmental circuit involving the substantia nigra and ventral tegmental area is primarily associated with the brain's reward system and the regulation of mood and motivation. It is not a key player in OCD's pathophysiology.
Correct Answer is C
Explanation
Choice A rationale:
Blood pressure regulation is not directly related to the outcomes for patients with obsessive-compulsive disorder (OCD) OCD primarily involves persistent, unwanted thoughts and repetitive behaviors, and blood pressure regulation is not a priority outcome for this condition.
Choice B rationale:
Pain management is also not relevant to the outcomes of patients with OCD. OCD doesn't cause physical pain, so pain management interventions would not be included in the Nursing Outcomes Classification (NOC) for OCD patients.
Choice C rationale:
Coping and self-esteem improvement is the correct choice. Individuals with OCD often struggle with managing their distressing thoughts and compulsive behaviors. Improving coping mechanisms and enhancing self-esteem are important goals in the care of these patients. The NOC would include outcomes related to helping patients develop healthier ways of managing their thoughts and behaviors, thereby improving their overall quality of life.
Choice D rationale:
Respiratory function optimization is unrelated to the outcomes of patients with OCD. This outcome is more relevant to conditions affecting the respiratory system, such as asthma or chronic obstructive pulmonary disease (COPD), and not to OCD.
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